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MEMBERSHIP APPLICATION FORM

Type of Membership: (Please check only one)

Standard

Associate

I. Personal Data

Name:

Date of birth:

Birthplace:

Present nationality:

Visa status:

Address in Korea:

Home address:

Telephone:

Cellular phone:

E-mail:

Occupation:

Name of company:

Location:

Telephone/Fax:

Spouse/ Contact No.:

Children:
1. Name: Birthday:

2. Name: Birthday:

3. Name: Birthday:

4. Name: Birthday:

5. Name: Birthday:

II. Involvement

Special skills:

Hobbies:

ISA's committee/s involvement:(You may check more than two.)

Culture

Welfare-Social

Education-Legal

Interpretation-Economic

PR/Publicity/Announcement

Other (please specify:)

III. Other suggestions/programs that you are interested in:

I hereby declare that the above personal information is true and correct, and I can be subjected to a legal liability for any untruthful statement herein.

Signed date at City: Country:

Name in print:

Signature:

Approved by: